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DOVE POINTE RESIDENTIAL SERVICE INC NPI 1164455440


NPI Information

NPI: 1164455440
Provider Name: DOVE POINTE RESIDENTIAL SERVICE INC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

CLIA Number: 21D2083955

Address:
1225 MT HERMON ROAD
SALISBURY, MD
ZIP 21804
Phone: (410) 341-4472
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DOVE POINTE RESIDENTIAL SERVICE INC is a developmental disabilities clinic center in Salisbury, MD. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). DOVE POINTE RESIDENTIAL SERVICE INC NPI is 1164455440. The provider is registered as an organization entity type.

The provider's business location address is:

1225 MT HERMON ROAD
SALISBURY, MD
ZIP 21804
Phone: (410) 341-4472
Fax: (410) 341-0927

The provider's authorized official is Donald B Hackett .
The authorized official title is Executive Director and has the following contact phone number (410) 341-4472.

The CLIA number assigned to this NPI record is 21D2083955 - other - adult day care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental Disabilities2293615MARYLANDNo
2261QD1600XClinic/CenterDevelopmental DisabilitiesDDA1052304MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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